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20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
17 Mar 2024, 5:42 pm
See, e.g., As UHG has worked to recover from the Choice Health attack, the resulting shutdown and disruption to electronic payment and medical claims systems incorporating the compromised Change Healthcare tools create various legal and operational headaches for many health plans and other health care payers by preventing or obstructing the submission and processing of health care claims and other transactions between health care providers and health plans. [read post]
13 Mar 2024, 10:43 am
Recently, the Centers for Medicare & Medicaid Services (CMS) announced that it will accelerate payments for Medicare Part A providers and Part B suppliers. [read post]
12 Mar 2024, 9:01 pm
Grimm, and Principal Deputy Administrator & Chief Operating Officer, Centers for Medicare & Medicaid Services (CMS) Jonathan Blum. [read post]
26 Feb 2024, 12:17 pm
And this spending shows little sign of slowing down: by 2031, the Center for Medicare and Medicaid Services (CMS) projects that Medicaid and the closely- related Children’s Health Insurance Program will cost over $1.2 trillion annually. [read post]
23 Feb 2024, 5:00 am
In the Medicare Advantage (MA) program, overseen by the Centers for Medicare & Medicaid Services (CMS), Medicare Advantage Organizations (MAOs) – typically private insurers – receive monthly payments from CMS. [read post]
22 Feb 2024, 4:29 pm
American Medical refused to share information with the union about service demands, work schedules, and shifts. [read post]
20 Feb 2024, 5:00 am
Among the plethora of different contractors used by the Centers for Medicare & Medicaid Services (CMS) to administer the Medicare program is the Supplemental Medical Review Contractor, or SMRC. [read post]
19 Feb 2024, 5:25 pm
She also worked closely with Congress, the Department of Health and Human Services, the National Institutes of Health (NIH), and the Centers for Medicare & Medicaid Services (CMS) on the development of numerous guidances, rulemakings, and policy and legislative initiatives. [read post]
15 Feb 2024, 5:14 am
On Thursday, Democratic senators at a Finance Committee hearing said CMS “should take more urgent and aggressive action to prevent health insurance companies from using” AI to “deny medical services” and that the” administration’s latest efforts to increase transparency into AI tools don’t go far enough,” STAT reports. [read post]
13 Feb 2024, 5:00 am
Covered services range from clinical labs to physical and occupational therapy, durable medical equipment, certain imaging services, and more. [read post]
8 Feb 2024, 7:47 am
The federal H-2B visa program permits U.S. employers to temporarily hire nonimmigrants to perform nonagricultural labor or services. [read post]
6 Feb 2024, 12:14 pm
The Centers for Medicare & Medicaid Services (CMS) is making efforts to reduce drugs intended to treat schizophrenia and other behavioral health conditions. [read post]
4 Feb 2024, 6:46 pm
” Under this paradigm, only laboratories certified by CMS (or a deemed accrediting body) may perform clinical testing services. [read post]
4 Feb 2024, 4:17 pm
The Child Maintenance Service (the “CMS”) calculates child maintenance in accordance with a formula and set criteria. [read post]
1 Feb 2024, 6:19 pm
FLSA & Food Service The minimum wage, overtime, and record keeping requirements of the FLSA generally apply to all non exempt restaurant employees with some special rules. [read post]
1 Feb 2024, 9:00 am
CMS’s New Actions Related to EMTALA On January 22, 2024, the Department of Health and Human Services (HHS) announced that, through the Centers for Medicare & Medicaid Services (CMS), it will launch a comprehensive plan related to the Emergency Medical Treatment and Labor Act (EMTALA). [read post]
1 Feb 2024, 5:00 am
Both the Centers for Medicare & Medicaid Services (CMS) and its plethora of contractors rely on the mail to notify providers and suppliers of document requests, audit findings, disciplinary actions, and many other important items. [read post]
26 Jan 2024, 1:15 am
In this case, Catherine McAndrew, a Senior Associate in the Insurance and Reinsurance team at CMS, comments on the Supreme Court’s decision in TUI Limited v Griffiths [2023] UKSC 48I, which was handed down on 29 November 2023. [read post]
